07D0967514 CLIA NUMBER - FAIRFIELD SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 07D0967514
  • Facility Name: FAIRFIELD SURGERY CENTER LLC
  • Facility Address: 305 BLACK ROCK TURNPIKE
    FAIRFIELD, CT
    ZIP 06430
  • Facility Phone: 203 337-2660
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: HENRY BACKE
  • NPI Number: 1881804508
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 07D0967514
LAB Type Ambulatory Surgery Center
Facility Name FAIRFIELD SURGERY CENTER LLC
Street 305 BLACK ROCK TURNPIKE
City FAIRFIELD
State CT
ZIP 06430
Phone 203 337-2660
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2023
Certificate Expiration Date 11/15/2025
Facility Type Ambulatory Surgery Center
Lab Director HENRY BACKE

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This page was last updated on: 9/29/2025